232例小儿细菌性痢疾临床分析

Clinical Analysis of 232 Children with Bacillary Dysentery

目的:选用敏感抗生素治疗小儿急性菌痢。方法:对232例急性菌痢患儿做大便培养及药敏试验。结果:80年代较敏感的氨苄青霉素、庆大霉素、痢特灵等敏感率降低,而先锋霉素 V、头胞噻肟纳、丁胺卡那霉素、环丙沙星等敏感性为100%。结论:根据大便培养及药敏试验结果选用先锋霉素 V、头胞噻肟钠、丁胺卡那霉素、环丙沙星中的二联用药,其临床效果明显优于氨苄青霉素、庆大霉素、痢特灵。

Objective:The aim of this experiment was to apply the sensitive antibiotic to cure chil- dren with acute baillary dysentery.Methods:Medication sensitivity to dysentery bacillus were determinat- ed in 232 children with acute bacillary dysentery after stool culture,and suitable antibiotic can be selected according to the sensitivity.Results:Recently the antibiotic sensitivity to dysentery bacillus has changed greatly.From the 1980s the sensitive ratio of ampicillinum,gentamicim sulfas,furazolidonum,etc,have re- duced,otherwise cephazolinsodium,cefotaxime,amikacin,cprofloxasin,etc,have been the ration of 100%. Conclusion:According to the results of medication sensitivity test after stool culture two antibiotic among cephazolinsodium,cefotaxime,amikacin and cprofloxasin can be selected and applied together,the clinical curative effcts are more effective than ampiciuinum,gentamicim sulfas furazolidonum etc.